Nyotowidjojo, Iwan

Nyotowidjojo, Iwan is an individual health care provider with primary practice located at 29472 Avenida De Las Banderas , Rancho Santa Margarita CA 92688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nyotowidjojo, Iwan can be contacted via phone (949) 459-9968.

Contact Information

Primary practice address
29472 Avenida De Las Banderas Rancho Santa Margarita CA 92688
Phone: (949) 459-9968
Fax: (949) 766-2565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45679 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01089040A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TW-00242 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C1300 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 334744 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0096206 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26749 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A167115 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X CL-0025782 Delaware
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 68913 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0069772 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R74508 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-50889 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MC-1884 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TPME4194 Florida

Profile Details

NPI number 1578976270
LBN Legal business name Nyotowidjojo, Iwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Jul 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers